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Development and psychometric evaluation of the nurses' competency in patient education scale: a sequential
Zahra Farsi1,2, Reza Momen2, Seyedeh Azam Sajadi2
1Nursing & Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St. Tohid Sq., Tehran, 1419733171, Iran.
BMC Medical Education
|July 2, 2025
Summary
A new 33-item scale was developed and validated to assess nurses' competency in patient education. This tool demonstrates acceptable validity and reliability, supporting its use in evaluating nurses' patient education skills.
Area of Science:
- Nursing Education
- Healthcare Professional Development
- Psychometric Evaluation
Background:
- Patient education is a core component of nursing professional competency.
- Assessing nurses' proficiency in patient education is crucial for quality healthcare.
- Existing tools may not adequately capture the multifaceted nature of this competency.
Purpose of the Study:
- To develop a self-assessment scale for nurses' competency in patient education.
- To evaluate the psychometric properties of the developed scale.
- To provide a reliable instrument for measuring nurses' patient education skills.
Main Methods:
- A sequential exploratory mixed-methods approach was employed.
- Qualitative content analysis of interviews and focus groups informed item generation.
- The scale underwent face, content, and construct validity assessments, followed by reliability testing (Cronbach's alpha, ICC) on 408 nurses.
Main Results:
- A 33-item scale with four dimensions was developed: adherence to principles, patient preparation, ethical conduct, and professionalism.
- The scale demonstrated strong psychometric properties, including high content validity (S-CVI/Ave = 0.9) and reliability (Cronbach's alpha = 0.917).
- Responsiveness, reproducibility, feasibility, and minimal floor/ceiling effects were confirmed.
Conclusions:
- The developed scale is a valid and reliable instrument for assessing nurses' competency in patient education.
- This tool can be utilized for self-assessment and potentially for evaluating educational interventions.
- The findings support the scale's utility in enhancing nursing professional development in patient education.
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